Individual
LORRIN ELIZABETH MORTIMER CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
645 HARRIS RD, FAYETTEVILLE, GA 30215-7412
(404) 401-7699
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10620
GA
Other
Enumeration date
06/28/2021
Last updated
09/28/2022
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